MR. KENNETH LANE LPC NPI 1568650521

NPI Information

NPI: 1568650521
Provider Name: MR. KENNETH LANE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2615 EDWARDS ST
ALTON, IL
ZIP 62002
Phone: (618) 462-2331
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MR. Kenneth Lane, LPC is a professional counselor in Alton, IL. MR. Kenneth Lane, LPC NPI is 1568650521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2615 EDWARDS ST
ALTON, IL
ZIP 62002-915
Phone: (618) 462-2331
Fax: (618) 462-2504

The enumeration date for this NPI number is 10/4/2007 and was last updated on 2/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YM0800X	Counselor	Mental Health			No
3	101YP2500X	Counselor	Professional	178.012218	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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